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Home My WebLink About43495-Z g1SFF0 ' Town of Southold 1/14/2020 P.O.Box 1179 0 53095 Main Rd v%.Ap� .i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40995 Date: 1/14/2020 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 60015 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 56.-3-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/13/2019 pursuant to which Building Permit No. 43495 dated 2/20/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ACCESSORY IN-GROUND SWIMMING POOL,FENCED TO CODE,AS APPLIED FOR The certificate is issued to Smith,Roger&Constance of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44395 07-09-2019 PLUMBERS CERTIFICATION DATED A t riz d Signature SiirFnt,r�, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • �� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 43495 Date: 2/20/2019 Permission is hereby granted to: Smith, Roger& Constance 109 Bay Ave Bayport, NY 11705 To: construct accessory in-ground swimming pool as applied for. At premises located at: 60015 Route 25, Southold SCTM # 473889 Sec/Block/Lot# 56.-3-10 Pursuant to application dated 2/13/2019 and approved by the Building Inspector. To expire on 8/21/2020. Fees: SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Builc ing e Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 n ll Date. r� (' l New Construction: Old or Pre-existing Building: (check one) Location of Property: 60 (V 66 n A , f),% 4 House No. Street Hamlet e Owner or Owners of Property: h c` Suffolk County Tax Map No 1000, Section S6 Block 2) Lot Subdivision ,, ff Filed Map Lot: Permit No. �1 � Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ -i C Appl nt Signature so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 a� roger.richert(cD-town.southold.ny.us Southold,NY 11971-0959 CUh19�,� BUELDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To- Roger Smith Address: 60015 RT 25 city:Southold st: NY zip: 11971 Budding Permit#: 43495 Section: 56 Block: 3 Lot. 10 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Platinum East Electric License No: 34091-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceding Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixtureTime Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS El Other Equipment: Inground swimming pool to include bonding, control panel, 3-GFCI circuit breakers, low voltage pool lights, gas pool heater, 1- pool pump, cover motor and 1- GFCI recepticle. Notes Inspector Signature: Date: July 9, 2019 Copy of 0-Cert Electrical Compliance Form As OF SOGlyO� # TOWN OF SOUTHOLD BUILDING DEPT. `ycou765-1802 INSPECTION ,, [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ I ] CAULKING REMARKS: DATE -7 j INSPECTOR�� i zJ�q aoF souryo — v` � * # TOWN OF SOUTHOLD BUILDING-DEPT: `�COUMv� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLA ION/CAULKING [ ] FRAMING /STRAPPING [ FINA 7 -[ ] FIREPLACE,-& CHIMNEY [ `] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O RE ARKS: �Okf� C44% �%1166 - DATE INSPECTOR `-'x+...x�Y*."^_.,` _ :Af.^.^m*M'.'^'. - .,.,.�;... _ ....,,,^�-..- - ^nr rr+,rf':-r ,fir•,P.-.< .�'R+.-m,'r+m^^., - - 's<<�, w";Iy - „ta, "'t .-'ii. s�., .31 4 n 1p... •r� 4 4. s Q �u:'_w.., W.,�::;...�,'.� al->6`.:.4+._�,..x+ w> .,b..;��•J;:ax:�'..,",-,.k:.�€�+:'Ua,±,�:: `wu.,.."3�,::.f"'w:;w,uw. �..e::;s.,++.r'.i..`'"�:'n,au c..,rS;�...i.4:^ ...,..�..w,a_,.we; z Roger 11,Smith A,1.A.1„i,,*,FD A1' tty)Day Aventic JAN - g 2020 1laryport,NY 11 707 Town ofSouthold Building Department Town Hall Annex Building 54375 Route 25 P.O.Box 1179 Southold,NY 11971 Re%Sw*inaaning Pool Permit Pcrmit,;�,Swimming fool 7j�gS 60015 Titin Road Southold,NY 11971 TO Whom It May conceril `1'his fetter ;ahM act'lis tile cealtfication tsar the steel reinforcing (rehatr) that was, installed in the formaition of the pool installed at ills above address' '1'lic,reinforcing meets all required staatadaards and has bccaa installed in accordance will) same and in,general compliance with the Building Code ofthe State of'New York. Please add this letter to the Building Department's'tile, A copy of the Department's notification requesting this certification letter as the final step in the pertaaitting/C."mificaatc,ofOccupancy process is attached herein. Thank you for your kind attention to this matter. Veay tr r:; • ?� 1togta itta A. X.NCA1AP 's514 A0 0F �� . b� Q� 4. e s P n.. ;g Y' i i r.� 4 ..- ./'. r ;`yx' ,. ''� �� •+�q,-� maw �,a'�:'�", .'` v.�,v �.� Lift d `r atS` ey r 1 `cs w X WN s all 1� vcL. -``z- _.�- � `fit• ». ��s+�..y� �� "' � ♦ '` `-4;.� '' ..'� rt�i ar �y^.,..i'"' � �... _ •: ' ' _ .9. -•*�'iL �y `rc� ��. � ��t�� - " ' �..�i` 'R r` ti :. ..a z71 . • • 2 n .v . ��,; ;.., - •. �� •err �Irc�4'r.Q��. 4�x e art►„ `�� "'^�* � l��lM py:Q� r v� .r ` .'�.'� -'ryt `t 1+-jn,'' ^I`�►a"�'t .L+" `' 'i Y � "AIR �. -t� Ti.?Y►7�� as � Y �u a � �� 1"l �� ;�� 'i ». Y rr a �t � IV R ' o s J x , x� , #' �3 ti . . f ' , 4K �.y NiA FIELD INS1 BCTION REPORT DATE COMMENTS FOUNDATION (1ST) --------------------- ,------------- 'FOUNDATION (2ND) . tri ROUGH FRAMING PLUMBING ,y c 1 INSULATION PER N,Y: y STATE ENERGY CODE 6' FINAL t ADDTTIONA.L COMMENTS �Jr, t - 6 9 C) �s-jol "p o ' to 4-r ✓ �, r/ II r TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631) 765-1502 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.O.E.C. Trustees -C.O.Application Flood Permit Examined �® ,20 Single&Separate Storm-Water Assessment Form Contact: Approved ,20� Maio: Disapproved a/c po -1160— Phone: Peconlc,NY 11958 Expiration ,20 63 773q--75a3 — I& Bui ding Inspector �= [ D 0�� LIGATION FOR BUILDING PERMIT Date �`—�3 , 20� FEB 1 2019 INSTRUCTIONS a.Thisap�luoidn IvIISTbbe completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of planlr ®#19CAJT0 .Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises,relationship to adjoining premises or public streets or areas, and waterways. c.The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application',',the Building In.,octor will iss ' a'Building Permit to,the'applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been complefed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building.Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter,anew permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold;.Suffolk.l ounty,New York,and other applicable Laws,Ordinances or Regulations, for the construction of building's, additions,or alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,'ordinances,building code,housing code,and regulations, and to admit authorized inspectors on premises and in building for necessary inspec ' a �ornaa corporation)ignature o (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer general contracto`; electrician, plumber or builder Name of owner of premisesO-6" (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: (wt� 15 V"omt\ lsm'A , t r7 House Number Street Hamlet County Tax Map No. 1000 Section Sb Block 3 Lot �� Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed•construction: a. Existing use.and occupancy y p b. .Intended use and occupancy 14-0 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal' _Demolition Other Work X L4 p t Ar , e_nLP_ " (Description) 4. Estimated Cost f Fee (To be paid on,filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number;of cars ,6.1 If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any:iFront Rear Depth Height Number(of Stories Dimensions of same structure with altorafions or-additions: Front r ,- - Rear Depth Height_ Number•ofSt_ories` I 8. Dimensions of entire new construction: Firont- Rear '' Depth ? Height NumbE r of!Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner " 1 L Zone or use district"in which premises are,"situated -4jD 1 . Does proposed construction violate any,zoning lbw, ordinance-or regulation?YES NOj � r ' 13. Will lot be re-graded? YES " 'NO % ,Will excess fill,be removed from premises?YES �' NO, +� 14. Names of Owner ofjpremises ; t• Address Phone;No.. Name of Architect , Address" Phpne'IN61 Name of Contractor Ad'd'ress- : , . Phone I�Id. 1 a. Is this property Within'I00'feet of a tidal,we''tlarld'or,a'fresiiwa'terwetland? *YES NO' t� IF YES, SOUTHOLD.TOWN`TRUSTEES'&,D.E:C.PERNETS\MAY BE REQUIRED. i •sr t b. Is this property within 300 feet of a.tidal wetaiid? * YE'S:':: :NOS IF YES, D.E.C. PERMITS MAY BE REQUI PI,.. 1( . Provide survey, to scale, with accurate fotindation plan and distances to property lines. 1 . If elevation at any point on property is at 110 feet or below, must provide topographical data on survey. 1 . Are there any covenants and restrictions with respect to this property? * YES No IF YES, PROVIDE A COPY. S--ATE OF NEW YORK) SS: COUNTY OF ) -� �-C77 ! being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above'nam'ed, CONNIE D.BUNCH (S He is the Npfarj Public,State of New York ontractor, mi Aginso gent, Corporate Officer, etc.) Qualified in Suffolk County ! Commission Expires,4pril 14,2DDZ o said owner or owners, and is duly authorized to perform or have performed the said work and to make,and fileithis application; th t all statements contained in this application ar c;true,to the best of his knowledge and belief; and that the work!will be performed in the manner set forth in the application filed therewith. Sworn to e0 me this -t�1 day of 20 Notary Public Signature o plica Scott A. Russell � SuF ST(0)IKAMWAT)EIR� SUPERVISOR �V]I,A\� A\(G 1EAM[1EN`]F SOUTHOLD TOWN HALL-P_O.Box 1179 p 53095 Main Road-SOUTHOLD,NEW YORK 11971 pyo Town of So u th o l d CIU PTER 23 6 - STORAIWA.TER MANAGEMENT WORZr, SHEET (TO BE COMPLETED BY THE APPLICANT) Yes'No (CHECK ALL THAT APPLY) [j[ A_ Clearing, grubbing, grading or stripping of land which affects more than 5,000-square feet of ground surface. ❑[P/B. Excavation or Tilling involving more than 200 cubic yards of material withi;i any parcel or any contiguous area. ❑VC. Site preparation on slopes which exceed 10 feet vertical rise to ❑� 100 feet of horizontal distance. D. Site preparation within 100 feet of wetlands, beach, bluff or coastal ❑ / erosion hazard area_ E._ Site preparation within the one-hundred-year floodplain as depicted on.FIRM Map of any watercourse.. ❑ . Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Cbeck List Form to the Building DepartmenLwiilLyour Building Permit Application. APPLICANT_ (Property Owner,Design Professional,Agent-Contractor,Other) S.C.T.M. ;1_ 1 000 Date: District NAME Creative Erl Arortmental Design 6 e3 l0 W'"" PO Box 160 Section Block Lot �gooniC,NY 119-59 os.�,.r ,,(( FOR Bt)11LDMG DEPAR 1 N-lt�T t:sL. Contact)nformat�orz `—�3'�l��-(•�� Reviewed By: Date: Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — — (COO[ O[15 M_4�`YN. )P\L ❑ Approved for proce>;tng Budding Permit. Stormwater Management Control Plan Not Required. - - - - - - - - - - - - - - - - - Siormwater Managen;e nt Ccntrol Plain .�.°cq„ ed (Forward to Engineering Departmeni for Revtew.) FORM - SMCP- TOS MAY 2014 � FFpj&C BUILDING DEPARTMENT- Electrical Inspector TOWN OF SOUTHOLD a� Town Hall Annex- 54375 Main Road - PO Box 1179 o • Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 ro.ger.richert(aD-town.southold.ny.us APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: 1L1-n+ Date: 6-12-1 Company Name: Fqs C- c r C h7c, Name: lee-i - License No.: 110c/'I - M E email: jQlahnveiegst1yet bw, . ce Address: 132Q ` eQ Sour c Phone No.: 6231 - &�:- 10 JOB SITE INFORMATION: (All Information Required) Name: 12p Address: &00 S 5 Cross Street: Phone No.: I Bldg.Permit#: g254915 email: — -5AA,-d- Tax Map District: 1000 Section: Block: Lot: BRIEF DESCRIPTION OF WORK (Please Print Cl e ly) Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A # Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: PAYMENT DUE WITH APPLICATION Request for Inspection Form.xls pF SO!/r�,®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �Q QUNTY,�� BUILDING DEPARTMENT December 20, 2019 TOWN OF SOUTHOLD Creative Environmental Design P.O. Box 160 Peconic, New York 11958 RE: Roger Smith, 60015 Route 25, Southold. Before the Certificate of Occupancy can be issued certification of the re-bar is required. TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of$50.00. Final Survey with Health Department Approval. Plumbers Solder Certificate or Pex Affidavit Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer Spray Foam Insulation certification from a NYS licensed architect or Engineer over BUILDING PERMIT: _J5-Z Swimming Pool O� AP RO ED AS NOTED DATE: B.P.# 3 FEE: b BY: COMPLY WITH ALL CUL✓Lv NOTIFY BUILDING DEPARTMENT AT NEW YORK STATE & TOWN CODs 765-1802 8A TO 4P FOR THE AS REQUIRED AND CONDITIONS C FOLLOWING INSPECTIONS: 1. FOUNDATION - 7hO REQUIRED FOR POURED CONCRETE OAR' 2. ROUGH FRAMING & PLUMBING 3. INSULATION $VUMVLU IVY d�R ES 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE ;, REQUIREMENTS OF THE CODES OF NEW �1MUMEM g ELY11 YORK STATE. NOT RESPONSIBLE FOR ZOLC bSE POOL TO CODE ~R' DESIGN OR CONSTRUCTION ERRORS. QON.COMPLETION , #3 DEBAR I ;BEFORE,°WATER-"' I m OCCUPANCY O USE IS UNLAWFUL - WITHOUT CE TIF 2;6 7 CERAMIC TILE Lu PANCY o �° OF occu o> 3" CLP z Gil Q w O � RETAiN STORM WATER RUNOFF Z #3 @ ,2" O.C. VERT. PURSUANT TO CHAPTER 236 z OF THE TOWN CODE. Q o � 6 I m 3' CLR O ELECTRICAL. INSpECT10N REQUIRE -- — @ I #3 G" O.C. VERT.I �RADIL15 VERIE5 FROM 12" @ 4' DEPTH TO 5'=0" @ ,5'-G" DEPTH I I POOL WALL DETAIL 1 II _ I 1_011 ROGER SMITH RESIDENCE MAIN ROAD, SOUTHOLD NY 11971 SCTM No. 1000-056-03-10 RSD AF?Cy/ �g ��I.BRD TccO Robert I. Brown Architect, P.C. 205 BAY AVENUE GREENPORT, N.Y. 11944 1634A yoQ� 631-477-9752 (Fax) 631-477-0973 FN FEB. 1, 2019 � I M7 EXCESS TOP ' I SOIL PILED BERM AWA I I I POOL /omR P05T5 EGW OTY CaMN NAW G4Y YRTI.E,VALE VW HYO "Ea,,BILE% am m 7 0 Pxw000,KoLrA 1 I SPP. 1 Tru,EVERGR N 51-w,EVERGREEN BROADLEAF 0 ARBMTAE,CIFEEN GIANT 9 Boxwood,GREEN MimAM 2 6 0 HoLLY,BLLE 2 TP.�agRUU5 LEAANR CYPW% 6 A55ORTED PER(T8JAL9 I POOL DEEP, I I FENCE ON 5TEEL n h P05T5 N POOL pTiz +e E �]_Lj� FENCE ON 5TEEL XV ' FOP,POOL 20AQ "- - P05T5 GMTE >, PDX i LLOW TREE A I 0 BE REMOVED f ACV �-) r ' II _ e I P �46109 WALK GATE WALK GATE UOVATGARAGE POWDER "STYLE I POWG£R COATED I AUM-M DECORATIVE FENCE T I 16 i GARAGE I I i I I I DRIVEWAY I i RESIDENCE I I I I I I I ev1siSwiel.,on an: aveC'ichanowcz Aft AM RAftAft I tin ate:D - 20 vu iiviromiiien a esi "n